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07/16/2012 16:41 9257466094 AEI CONSULTANTS PAGE 01/01 <br /> I� RECEIVES <br /> '■ located at 1868 Hazelton (near county bldg dept - 5!2012 EHD LOG NUMBER <br /> DATE RECEIVED SAN JOAQUIN COUNTY <br /> 6 2012 ENVIRONMENTAL WEALTH DEPAULE C 0 P Y <br /> MENTAL HEALTH 600 East Main St. Stockton, CA 95202-3029 <br /> Attn: Ti -VUphone: (209)468-3420 Fax: (209)464-0138 Web: www-sjgov.org/ehd <br /> (p 2- PUBLIC <br /> Fj <br /> PUBLIC RECORDS RELEASE APPLICATION r---� <br /> APPLICANT: l°' cr✓ ''-' BUSiNESSIAGENCY: A-V-1 e),jryL__i7",r1 <br /> ADDRESS: <br /> 2500 Camino Diablo CITYISTATEIZip:Walnut Creek, CA 94597 <br /> PHONE(1): 121.7q(v lc� PHONE(2): FACSIMILE:_9 25' -741A -1P99 <br /> TENTATIVE'APPOINTMENT DATE: Time: <br /> (Please allow 10 business days from date of application submittal-'Tentative only-must be confirmed) <br /> ❑CHECK BOX TO EXPEDITE REQU ST-$122.FEE H OR CHECK ONLY)-REQUEST PROCESSED IN 3 BUSINESS DAYS <br /> SIGNATURE OF APPLICANT DATE_ '7-1(0 l�- <br /> Electronic Information: [71 ListE]Map—Description: <br /> FEHD USE ONLY <br /> FILE ADDRESS <br /> Street# Street Name city <br /> 'jUn <br /> �' <br /> 2. ( �1 1L _I I - —, /0 Unit 2 <br /> 3• 1 � ►�� <br /> 4. I �( �i/— f'Y� ( c'C-C,V1 . I ❑ Unit 3 L <br /> 6. - Unit 4 <br /> 7. _ 1 <br /> _1125Unit 5 <br /> ❑Unit 6 <br /> Specific Date Range of Information Requested: From A rCCOr 9 <br /> ENVIRONMF_NTAL HEALTH DEPARTMENT FILES <br /> UNDERGROUND TANK(UST)CLEANUP SITE(LOP) OUTING ABATFVF.NT �- -SOLID WASTE FACILITYNFHICLE <br /> / OTHER CLEANUP SITE(NON-LOP) FOOD FACILITY WASTETIRE <br /> UNDERGROUND TANK(MONITORINGIREMOVAL) DOG KENNEL DAIRY <br /> `I HAZARDOUS WASTE GENERATOR CHICKEN RANCH �IIVASTE1hiATERTREATMENT PLANT <br /> 'TiERED PERMITTED FACILITYMOTEUHOTEL []PUMPER TRUCKNARD/CHEMICALTOILETS <br /> Q TATTOOIBODY PIERCING 21rnrn 1 POOLISPA i fi,,�i LAND USE APPLICATION SITES <br /> ��'MEDICAL WASTE FACILITY 'RFOTHER(PLEASE SPECIFY) <br /> WELL AND SEPTIC PERMIT RECORDS ARE AVAILABLE FOR REVIEW: MONDAY-FRIDAY 8:00 AM-5:00PDA(EXCLUDING HOLIDAYS) <br /> 1. List-mg-to tan adjm!�_ses in the space above. Select the type(s)of files from the list above by cher;king the appropriate <br /> box(es). At least one file type MUST be selected, o 209 -013 ail tot ddms dic above Address <br /> ranges will not be accepted-for additional assistance with file addresses,contact the EHD. Applications received after <br /> 3:00 pm will be processed the next business day. <br /> 2. The EHD will notify the applicant if any EHD files exist. An appointment for review will be confirrriEd approximately ten(10) <br /> days after receipt of application. The files will be held for a maximum of five business days for review. Appointments <br /> should be scheduled accordingly. <br /> 3. A file that is actively being worked on by EHD staff may not be immediately available for review. A new application may be <br /> submitted when the file is available. <br /> 4. Any file not returned in the same condition as released will be reorganized by EHD staff at the expense of the applicant. <br /> Future file reviews by the same applicant may require a$122 deposit prior to review. <br /> eKD USE ONLY <br /> L 12 Al <br /> / iZf v ' �1 of <br /> / / � � tom► � ) � cS I � L7 �� <br /> _ - o�lz9rt o <br /> Received -Time Jul. 16. 2012 4:44PM No. 0563 <br />